101.08.03 REQUESTING INFORMATION FROM THE APPLICANT

The applicant has the primary responsibility for providing documentary evidence to verify statements made on the application or to resolve any questionable information when verification from electronic data sources is not available or is inconsistent with applicant provided statements. When additional information is needed, the following action is taken: ABD Applicants MAGI-Related Applicants Issue DOM-307, Request for Information, to take a necessary action to request specific information that must be provided based on the ABD application responses. Request only needed verification and required actions; do not request information that does not apply. Direct contact must be attempted before issuing a written request for information when information from electronic data sources conflicts with information provided on the MAGI application. If a reasonable explanation is provided, document the contact in the case narrative. If direct contact is unsuccessful, document each attempted contact and issue written notice as described below. Issue DOM-309, Second Request for Information, at the end of the DOM-307 request period for any missing information or action addressed on the DOM-307. Do not request any new or additional information on the 309; a new 307/309 is required for information or action not addressed in a previous 307/309. Issue DOM-307, Request for Information, when needed information is not available from electronic data sources or attempts to contact the applicant by telephone are unsuccessful. List specific information needed to determine eligibility. Request for additional time – for both ABD and MAGI, if the applicant contacts the agency to request additional time, the applicant will have the remainder of the 45-day processing period to submit requested information or take necessary action. (NOTE: for ABD disability applications subject to the 90-day processing period, a denial cannot be issued prior to securing the DDS decision, which may allow additional time for the ABD applicant to provide other needed information.) Explain to the applicant the latest date that can be allowed to submit information or take necessary action to avoid a denial for failure to provide requested information. Assist the applicant as needed or requested to secure needed information. Failure to provide requested information – if the applicant has not fully complied by the due date on the 307 (for MAGI) or on the 309 (for ABD) and has not requested additional time, the application will be denied due to the failure to provide needed information or take required action. (NOTE: for ABD disability applications subject to the 90-day processing period, a denial cannot be issued prior to securing the DDS decision, which may allow additional time for the ABD applicant to provide other needed information.) Document the denial notice to inform the applicant of the missing verification or action that is the basis for the denial.